Monday, March 14, 2016

Hospital Safety

Hospital Safety Information: Allergies to Gluten and Corn

General Information:

  • NO hand sanitizer - hands should be washed with soap and water
  • Gloves must be powder-free nitrile variety
  • Cloth gowns and bedding instead of paper covers. I have an emergency gown and my emergency contacts can provide clean linens.
  • NO powdered rubber instruments - metal or glass only
  • Any tools disinfected with alcohol should be rinsed prior to use
  • NO dissolvable sutures - only use non-dissolvable nylon or polypropylene sutures that have been rinsed to dispose of corn starch.
  • Saline IV only! No dextrose!
  • For ANY medication given, check the inactive ingredients against the list below!!

Ingredients to Avoid:

  • wheat, barley, rye (anything with gluten)
  • corn (anything with the word corn, like corn starch, corn syrup, etc)
  • maltodextrin
  • dextrose
  • citric acid
  • sorbitol
  • glucose
  • aspartame
  • fluoride
  • glucose
  • sucrose
  • fructose
  • non-specified starches
  • modified starch
  • glycerin
  • natural flavors
**See the corn allergen list for more ingredients/derivatives to avoid.**

Anesthesia Information

For local anesthetics, use only carbocaine or preservative-free lidocaine. No inactive ingredients other than water and/or sodium chloride!

Safe General Anesthetics:
  • Versed (Hospira)

Avoid General Anesthetics:
  • Propofol

Antibiotics Information

  • Keflex (Cephalexin) - red capsule. (potato starch)
  • Rocephin (Ceftriaxone) - injection. (Check that it isn't treated in ethanol. It should be mixed with sterile water or saline only. Also check that the lidocaine is corn free.)
  • Zithromax (only brand-name. The generics usually have corn starch.)

  • Cipro
  • Levaquin
  • Bactrim (and the Qualitest generic version as well)

Blood Products/Transfusions

Check the inactive ingredients and anticoagulants, as many are corn-derived. Please discuss information with patient or emergency contact before using blood products. If a transfusion is absolutely necessary, please take necessary precautions to prepare for possible allergic reactions.

Inhaled Medications

  • Xopenex
  • Albuterol-only nebulizers

  • Ethanol propellants
  • Anything with added ingredients included on the above-mentioned list

Injected Medications

  • Saline IV
  • Diphenhydramine Hydrochloride injection (check inactive ingredients)
  • Ranitidine Hydrochloride injection (check inactive ingredients)
  • Rocephin injection (without dextrose!!)

  • Lactated Ringers
  • Dextrose in IV

Wound Treatment and Disinfectants

  • Saline
  • Betadine solution (if it contains only water, povidone iodine, and sodium hydroxide)
  • Purdue brand Betadine is safe
  • Isopropyl alcohol (only if necessary)
  • Non-dissolvable nylon or polypropylene sutures (rinse to remove corn starch)
  • Carbocaine or preservative lidocaine for local anesthetics (the only inactive ingredients should be water and/or sodium chloride)
  • Cotton gauze
  • Kerlix or Coban Tape

  • Citric Acid
  • Glycerin
  • Pareth alcohol
  • Ethanol
  • Dissolvable sutures
  • Local anesthetics with inactive ingredients other than water/sodium chloride
  • Most adhesive bandages
  • Steri-strips

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